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Safety Precautions and Operating Procedures in an (A)BSL-4 Laboratory: 4. Medical Imaging Procedures

Safety Precautions and Operating Procedures in an (A)BSL-4 Laboratory: 4. Medical Imaging Procedures

Published on: October 3, 2016

Knowing--in medicine.

Joachim P Sturmberg¹, Carmel M Martin

¹Monash University and Newcastle University, Australia. jp.sturmberg@gmail.com

Journal of Evaluation in Clinical Practice

|November 21, 2008

Summary

Healthcare knowledge is dynamic and personal, not static. Understanding its complex, multi-dimensional nature is key for effective medical practice and health service planning.

Area of Science:

Health Services Research
Knowledge Management
Complex Adaptive Systems

Background:

Prevailing view of healthcare knowledge as an objective state.
Polanyi's concepts of personal, discovered, explicit, and tacit knowledge.
Complex adaptive systems science perspective on knowledge as a dynamic construct.

Purpose of the Study:

To present knowledge in healthcare as a multidimensional, dynamic construct.
To explore the application of the Cynefin framework for understanding knowledge construction.
To advocate for a context-driven approach to medical knowledge discovery and application.

Main Methods:

Conceptual analysis drawing on Polanyi's work and complex adaptive systems science.
Application of the Cynefin framework to categorize and understand knowledge domains.

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Last Updated: Jun 27, 2026

Safety Precautions and Operating Procedures in an (A)BSL-4 Laboratory: 4. Medical Imaging Procedures

Safety Precautions and Operating Procedures in an (A)BSL-4 Laboratory: 4. Medical Imaging Procedures

Published on: October 3, 2016

Discussion of the explicit and tacit, content and context dimensions of medical knowledge.

Main Results:

Knowledge in healthcare is personal, discovered, and has explicit/tacit dimensions.
The Cynefin framework offers a model for sense-making and knowledge construction.
Medical knowledge exists across known, knowable, complex, and chaotic domains, requiring movement between them for creation.
Knowledge involves both content and context, with inherent uncertainty.

Conclusions:

Healthcare knowledge is a multidimensional, dynamic, and personal construct.
A flexible, context-driven approach is essential for knowledge discovery and application in clinical practice and health service planning.
Challenging the known by navigating through different knowledge domains fosters new knowledge creation.